杨继国运用“三步调气法”临证举隅  

Experience of Professor YANG Jiguo Using“Three Steps Regulating Qi Method”

作　　者：付亚辉 杨欣雨 李旭豪 侯艺 王舒舒 鲁士友[2] 杨继国(指导)[1] FU Yahui;Yang Xinyu;LI Xuhao;HOU Yi;WANG Shushu;LU Shiyou;YANG Jiguo(College of Acu-Moxa and Tuina,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Traditional Chinese Medicine External Treatment Center,The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学针灸推拿学院,山东济南250355 [2]山东中医药大学附属医院中医外治中心,山东济南250014

出　　处：《山东中医杂志》2022年第3期309-312,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：齐鲁医派中医学术流派传承项目(批文号:鲁卫函〔2020〕132号)。

摘　　要：针灸是中医治病调气的常用方式,其最终目的在于调气,“气至”是决定疗效的关键。杨继国教授在临床中总结出“三步调气法”,即针灸得气、以神驭气、点穴导气三步。针灸得气依靠针刺手法和控制灸量达到“气至”,强调“得气”,注重患者的“针感”和“灸感”;以神驭气是通过治神、调神引领经气到达病所,用于针灸得气失利之时;点穴导气即运用点按、揣揉、敲打穴位等方式调气,用于前两步均未实现“气至”时。附病案3则以举例说明。Acupuncture and moxibustion are common methods in traditional Chinese medicine(TCM)to treat disease and regulate qi.The ultimate aim is regulating qi,in which“qi arrival”is the key for curative effect.Professor YANG Jiguo summed up the“three steps regulating qi method”in clinic,that is,three steps of acupuncture and moxibustion obtaining qi,mind controlling qi and acupoint pressing directing qi.Acupuncture and moxibustion obtaining qi depends on acupuncture manipulation and moxibustion dosage to cause“qi arrival”,with the key of“obtaining qi”,and the“acupuncture sensation”and“moxibustion sensation”should be paid attention to.Mind controlling qi depends on treating mind and regulating mind to guide qi arriving at the disease location,and should be applied when the acupuncture and moxibustion obtaining qi fails.Acupoint pressing directing qi is using pressing,kneading,and percussing on acupoints to regulate qi,and should be applied when the first two steps fails to cause“qi arrival”.There are 3 proved cases as examples in this paper.

关 键 词：三步调气法 针灸得气 以神驭气 点穴导气 气至病所 杨继国 

分 类 号：R245[医药卫生—针灸推拿学]